Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

University Physician Group

Organization Eyewear Supplier · NPI 1558680330

University Physician Group is an Eyewear Supplier in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010

Practice location Address checks out

6071 W Outer Dr Ste M-106
Detroit, MI 48235-2624
Phone: (313) 966-2024
Fax: (313) 966-7418
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence 4301054761 (MI)

Record details

NPI number1558680330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffery Kohlitz — Chief Financial Officer · (248) 581-5930
NPI enumeratedMay 19, 2010
Last updated in NPPESDecember 8, 2016
Mailing address1560 E. Maple Rd., Suite 400-Credentialing Dept, Troy, MI 48083-1138

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